| NPI | 1285477364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H MARSHALL CEO 708-548-9209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist | |
| 171000000X Military Health Care Provider | |
| 251E00000X Home Health | |
| 251K00000X Public Health or Welfare | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QP2400X Clinic/Center Prison Health | |
| 261QS1000X Clinic/Center Student Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |