NPI | 1740079722 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLTON D HEMPHILL Owner & Clinical Director 224-400-3229 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-05-05 |
Last Update Date | 2025-05-05 |