| NPI | 1184327249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONA EKHOMU CEO 773-319-6420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-10-04 |