NPI | 1770270597 |
---|---|
Entity Type | Organization |
Authorized Contact | TIONNA HARRIS CEO/Owner 708-513-8170 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2023-04-21 |
Last Update Date | 2023-05-18 |