NPI | 1952869299 |
---|---|
Entity Type | Organization |
Authorized Contact | ROCIO REYES Owner 312-620-4940 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-03-05 |
Last Update Date | 2019-03-05 |