| NPI | 1508682725 |
|---|---|
| Former Legal Business Name | RENEWED PATH THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | BIANCA Z MEHEGAN Business Owner 773-573-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |