| NPI | 1699467266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNATHAN MATTHEW JOHNSON CEO/ President 708-439-1832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QC1500X Clinic/Center Community Health | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 282J00000X Religious Nonmedical Health Care Institution | |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2024-08-04 |