NPI | 1538736962 |
---|---|
Entity Type | Organization |
Authorized Contact | IONA REDMON Owner/Clinician 773-454-8612 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-06-04 |
Last Update Date | 2021-06-04 |