| NPI | 1184490062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY A MEDAGLIA President/CEO, Authorized Official 773-484-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2024-03-15 |