| NPI | 1003172404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA RATCLIFFE Officer 773-239-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL 036121844) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036121844) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 036121844) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |