NPI | 1710623749 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE BARON Owner 312-219-1597 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-05-11 |
Last Update Date | 2022-05-16 |