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Organization

Y NOT FAMILIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDON MCNEIL (OWNER)
(301) 461-8357
Entity
Organization

Contact information

Practice address
917 W 18TH ST, CHICAGO, IL 60608-2400
(301) 461-8357
Mailing address
917 W 18TH ST, CHICAGO, IL 60608-2400

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
07/31/2023
Last updated
07/31/2023
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