| NPI | 1962663120 |
|---|---|
| Former Legal Business Name | HEARTLAND HEALTH OUTREACH |
| Former Legal Business Name | CHICAGO HEALTH OUTREACH |
| Entity Type | Organization |
| Authorized Contact | EDWARD STELLON Executive Director 773-751-4129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: IL 019) |
| 251B00000X Case Management | |
| 251S00000X (Licence: IL 019) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2020-04-27 |