| NPI | 1336915826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHAWN DENNIS Associate Director/Special Projects 708-967-3074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2024-01-31 |