| NPI | 1811778046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY CHENG President 773-742-0384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |