NPI | 1720581101 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTUAN DURALL WILBON CEO/Owner 312-474-6189 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-03-13 |
Last Update Date | 2018-07-18 |