NPI | 1316576200 |
---|---|
Entity Type | Organization |
Authorized Contact | BIPIN SHARMA Owner 708-250-0520 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2020-04-03 |
Last Update Date | 2020-07-31 |