| NPI | 1801409008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA WASHINGTON Director Of Operations 708-462-2134 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 171100000X Acupuncturist | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2023-03-23 |