| 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 |