| NPI | 1164039723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBY RICHARDSON Health Care 773-606-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2021-03-15 |