| NPI | 1083424477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY GRIFFIN Administrator 312-730-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |