NPI | 1710673173 |
---|---|
Entity Type | Organization |
Authorized Contact | HEIDI OLKOWSKI Billing Manager 773-697-6529 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-04-17 |
Last Update Date | 2023-04-17 |