NPI | 1629725809 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE GILMARTIN Owner 708-574-3437 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-03-07 |
Last Update Date | 2022-04-04 |