| NPI | 1134311038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE SHAVER President/CEO 312-424-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 004236-11) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2022-07-01 |