NPI | 1033719083 |
---|---|
Other Name | MEZAME |
Entity Type | Organization |
Authorized Contact | ROBERT MANRIQUE Owner 312-248-1915 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2020-10-29 |
Last Update Date | 2023-12-12 |