NPI | 1952947830 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT DOOLITTLE Director Of Contracting 773-572-5284 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-11-26 |
Last Update Date | 2019-11-26 |