NPI | 1316747538 |
---|---|
Other Name | CCRC BEHAVIORAL HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | JOSHUA SMITH HETHERINGTON CEO 773-791-0469 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2025-03-17 |
Last Update Date | 2025-05-21 |