NPI | 1750046108 |
---|---|
Entity Type | Organization |
Authorized Contact | KENYA BUTTS CEO 312-612-0264 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2021-11-01 |
Last Update Date | 2021-11-01 |