| NPI | 1376832220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT EVERSON CFO 312-673-2714 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2024-09-23 |