NPI | 1871330464 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE L HORNER Owner 312-834-4245 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2024-07-10 |
Last Update Date | 2024-10-31 |