NPI | 1285027888 |
---|---|
Entity Type | Organization |
Authorized Contact | HELEN MORRISON President 312-944-1781 |
Organization Subpart ? | No |
Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: IL 36058176) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 036058176) |
261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 36058176) | |
Enumeration Date | 2015-03-06 |
Last Update Date | 2015-03-06 |