| NPI | 1376431734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORREY L BARRETT CEO 773-363-6941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-12-19 |