| NPI | 1669186177 |
|---|---|
| Doing Business As | 247 DCT |
| Entity Type | Organization |
| Authorized Contact | WAJAHATUDDIN MACCI CFO 773-817-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-10 |