NPI | 1649980947 |
---|---|
Entity Type | Organization |
Authorized Contact | JERED G PRUITT COO 312-328-6606 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
1041C0700X Social Worker, Clinical | |
224Z00000X Occupational Therapy Assistant | |
225X00000X Occupational Therapist | |
261QH0100X Clinic/Center, Health Services | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2022-11-29 |
Last Update Date | 2024-04-02 |