NPI | 1568056141 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY DOLAN Owner 773-299-8387 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-02-24 |
Last Update Date | 2021-02-24 |