| NPI | 1316827645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVIVA VILENSKI Executive Director 773-216-2904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-06 |