| NPI | 1255709366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HONG LIU Executive Director 312-225-8659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: IL 15013) |
| Additional Taxonomies | 251B00000X Case Management (Licence: IL 15013) |
| 251S00000X Community/Behavioral Health (Licence: IL 15013) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 15013) | |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2024-03-07 |