| NPI | 1407198013 |
|---|---|
| Doing Business As | HRDI ACT WEST |
| Entity Type | Organization |
| Authorized Contact | RENZY RICHARDSON Director Of Contract Administration 312-441-9009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X (Licence: IL 04073) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2021-06-23 |