| NPI | 1043164908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN MARTINEZ Executive Director 773-759-2419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-02-25 |
| Last Update Date | 2026-02-25 |