NPI | 1740730456 |
---|---|
Entity Type | Organization |
Authorized Contact | EDDY BORRAYO President & CEO 773-564-9070 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2016-10-05 |
Last Update Date | 2019-03-25 |