| NPI | 1528781135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IONA REDMON Lcsw 708-855-0783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2024-02-21 |