| NPI | 1023562303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE NOTO Executive Director 773-205-0474 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL A-0534-0007-A) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2025-05-12 |