NPI | 1619686557 |
---|---|
Entity Type | Organization |
Authorized Contact | DEVONE VERSE Director 773-619-2001 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
103TC0700X Psychologist Clinical | |
251S00000X Community/Behavioral Health | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
Enumeration Date | 2022-11-18 |
Last Update Date | 2022-11-18 |