| NPI | 1124438742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD JEROME DEW President/CEO 773-854-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2021-10-01 |