NPI | 1609285824 |
---|---|
Other Name | SOUTHSIDE HOUSING 2 LIBERTY HOUSE |
Doing Business As | SOUTHSIDE HOUSING 2 LIBERTY HOUSE |
Entity Type | Organization |
Authorized Contact | MARCELLA KLAUER Executive Assistant 773-572-5480 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2014-08-13 |
Last Update Date | 2022-07-14 |