NPI | 1376179234 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT LUIS MENDEZ Owner 312-401-6565 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-03-22 |
Last Update Date | 2020-09-24 |