NPI | 1780831214 |
---|---|
Doing Business As | SOUTHSIDE HOUSING ISLANDER HOUSE |
Other Name | SOUTHSIDE HOUSING ISLANDER HOUSE |
Entity Type | Organization |
Authorized Contact | MARCELLA KLAUER Executive Assistant 773-572-5480 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
251S00000X | |
Enumeration Date | 2008-08-27 |
Last Update Date | 2022-07-14 |