| NPI | 1477145233 |
|---|---|
| Doing Business As | PRISM BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MARK RAUSER Clinical Psychologist 773-301-6144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |