NPI | 1255136396 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY SCOTT RIZZOLO Authorized Official 312-588-0654 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2025-02-13 |
Last Update Date | 2025-02-13 |