| NPI | 1316904956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID K. ANDERSON Executive Director 773-736-1447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2022-02-25 |