| NPI | 1144820648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLYN MARIA GARRETT-WILSON Vice President Of Clinical Services 773-320-9592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X | |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2022-05-04 |