NPI | 1275343667 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY GRIFFIN Administrator 312-730-4355 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2025-01-08 |
Last Update Date | 2025-01-08 |