| NPI | 1215343645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMUDENA RUIZ Clinical Director Bh 312-432-7374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149013910) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |