NPI | 1164997284 |
---|---|
Entity Type | Organization |
Authorized Contact | TYTANNIE HARRIS Owner 773-701-7486 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2018-10-04 |
Last Update Date | 2019-11-18 |