| 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 | 251S00000X |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-08-17 |