NPI | 1841836962 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN MAE STYPKA Sole Mbr 312-623-6717 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2019-11-24 |
Last Update Date | 2019-11-24 |