| NPI | 1104560531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY BAYMON Clinic Director 773-306-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2022-04-22 |