NPI | 1093458572 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERYL SELENA HEDGLEY Administrator 312-573-2957 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2022-04-14 |
Last Update Date | 2022-10-26 |