| NPI | 1699506022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVE MCPHERSON Director Of Quality Assurance 708-369-9226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |