NPI | 1063131621 |
---|---|
Entity Type | Organization |
Authorized Contact | POOJA PATEL CEO 224-269-4551 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2022-08-25 |
Last Update Date | 2024-03-30 |