NPI | 1417750878 |
---|---|
Entity Type | Organization |
Authorized Contact | TENILYA MUMPHUS Owner/CEO 312-931-5157 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-03-31 |
Last Update Date | 2025-08-14 |