| NPI | 1558052753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RELINDIS W NDIFOR-NGABESONG Owner 773-712-3209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QR0800X Clinic/Center, Recovery Care | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2024-03-29 |