NPI | 1912448135 |
---|---|
Entity Type | Organization |
Authorized Contact | MIE TAMURA Therapist 773-401-8699 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180.007566) |
Enumeration Date | 2017-03-20 |
Last Update Date | 2017-03-20 |