Midwest Asian Health Association
Clinic/Center, Mental Health (Including Community Mental Health Center) in Chicago, IL. Organization (NPI-2).
NPI number1255709366
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1255709366
- Entity type
- Organization (NPI-2)
- Legal business name
- Midwest Asian Health Association
- Organization subpart
- No
- Enumeration date
- Sep 4, 2015
- Certification date
- Mar 7, 2024
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 15013 | IL | Yes |
| 251B00000X | Case Management | 15013 | IL | |
| 251S00000X | Community/Behavioral Health | 15013 | IL | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | 15013 | IL |
Practice location
218 W 26th StChicago, IL 60616-2204
Phone 312-225-8708 · Fax 312-225-8798
Mailing address
218 W 26th StChicago, IL 60616-2204
Phone 312-225-8659 · Fax 312-225-8798
Authorized official
Hong Liu
Executive Director
3122258659
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