NPI | 1710584487 |
---|---|
Entity Type | Organization |
Authorized Contact | RENZY LEE RICHARDSON Director Of Contract Administration 312-756-6230 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-10-06 |
Last Update Date | 2020-10-06 |