NPI | 1891475448 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN HEIDEL Vice President Of Mental Health 773-569-9553 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-07-19 |
Last Update Date | 2023-07-19 |