NPI | 1831119767 |
---|---|
Entity Type | Organization |
Authorized Contact | LORENA NAVARRETE Office Manager 708-656-6430 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251E00000X Home Health |
251S00000X | |
251V00000X Voluntary or Charitable | |
Enumeration Date | 2006-07-21 |
Last Update Date | 2024-08-14 |