| NPI | 1083723027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERI L LAUREANO Chief Operating Officer 773-239-8940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 012033-10) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: 012033-10) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-04-19 |