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 |