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 |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: IL 04073) |
Enumeration Date | 2013-03-21 |
Last Update Date | 2021-06-23 |