NPI | 1962949230 |
---|---|
Doing Business As | AUNT MARTHA'S SEADAC |
Entity Type | Organization |
Authorized Contact | MARY MARTIN Chief Financial Officer 708-825-5976 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-01-25 |
Last Update Date | 2017-01-25 |