NPI | 1710503982 |
---|---|
Entity Type | Organization |
Authorized Contact | AMIRA KRVAVAC Ar Director 224-470-2657 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-06-23 |
Last Update Date | 2025-09-11 |