NPI | 1487484119 |
---|---|
Doing Business As | OUR YOUTH MENTORING |
Entity Type | Organization |
Authorized Contact | TIFFANY JOHNSON Consultant 773-841-4368 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2024-08-06 |
Last Update Date | 2024-08-06 |