NPI | 1811618978 |
---|---|
Entity Type | Organization |
Authorized Contact | ELWOOD P NYTHER Administrative/Consultant 773-818-9607 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2022-09-07 |
Last Update Date | 2022-09-07 |