NPI | 1154176667 |
---|---|
Entity Type | Organization |
Authorized Contact | TWIN DENISE GREEN CEO 708-331-8111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-04-18 |
Last Update Date | 2024-04-18 |