| NPI | 1720486319 |
|---|---|
| Doing Business As | BEHAVIORAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | YANETH BARRETO Target Case Manager 847-707-9956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2022-07-21 |