| NPI | 1164648648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BESSIE ALCANTARA Executive Director 773-506-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-0328-0001-A) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X (Licence: IL 069226-11) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-05-27 |