| 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 |