| NPI | 1912528852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINS ADEOYE President 708-364-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |