Organization · Type 2 NPI
Private Practice
Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL
NPI number
1457796385
Active
Practice location
76 E 89th Pl
Chicago, IL 60619-6607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1457796385
Private Practice's National Provider Identifier is 1457796385, issued on May 6, 2013. 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 May 6, 2013.