NPI | 1144031857 |
---|---|
Entity Type | Organization |
Authorized Contact | JEROME WILSON President 773-354-8990 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2025-01-14 |
Last Update Date | 2025-01-14 |