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 |