| NPI | 1306586631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY DABNEY Chief Clinical Officer 773-651-6809 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 251B00000X Case Management | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2022-04-01 |