| NPI | 1407548266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEYONCA JOHNSON President 773-251-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2400X Clinic/Center, Prison Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1000X Clinic/Center, Migrant Health | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |