| NPI | 1093348575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN MARIE MCDERMOTT Manager/Registered Agent 312-493-9520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2023-11-27 |