Organization · Type 2 NPI
Austin Pride
Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL
NPI number
1285809236
Active
Practice location
4925 W Division St
Chicago, IL 60651-3159
Mailing address
645 S Central Ave
Chicago, IL 60644-5059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 1706406 (IL) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1285809236
Austin Pride's National Provider Identifier is 1285809236, issued on Apr 29, 2008. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Chicago, IL. The record was last updated on Apr 29, 2008.