| NPI | 1245748722 |
|---|---|
| Doing Business As | BLACKBIRD BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | SHARON K BLACK Director 708-209-8987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-03-26 |