| NPI | 1063100485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIPA PATEL Owner 224-567-0756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-11-21 |