| NPI | 1174845291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOIRA BAKER Director Of Clinical Services 773-267-5795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |