NPI | 1184485815 |
---|---|
Entity Type | Organization |
Authorized Contact | ZECHARIAH RODRIGUEZ Owner 312-883-4860 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-01-19 |
Last Update Date | 2024-01-21 |