| NPI | 1073781811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO CISNEROS Executive Director 773-579-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management (Licence: IL A-0155-0001-A) |
| 252Y00000X Early Intervention Provider Agency (Licence: IL A-0155-0001-A) | |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2022-02-14 |