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 |