NPI | 1942922109 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN M BURNS Owner 773-931-0895 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2022-09-14 |
Last Update Date | 2022-09-15 |