NPI | 1184378135 |
---|---|
Entity Type | Organization |
Authorized Contact | MONEA SMITH Chief Executive Officer 708-639-8878 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-02-08 |
Last Update Date | 2022-02-08 |