NPI | 1063642841 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA J GOLDEN Executive Director 773-737-9555 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
261QC1500X Clinic/Center, Community Health (Licence: IL 36383128) | |
Enumeration Date | 2009-07-15 |
Last Update Date | 2024-10-01 |