NPI | 1275419012 |
---|---|
Entity Type | Organization |
Authorized Contact | IMANI KHAN Owner/CEO/Executive Director 773-888-9715 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2025-08-15 |
Last Update Date | 2025-08-15 |