| NPI | 1396194692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE M LAVALLIE-UNABIA Executive Director 773-883-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 150014334) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2020-12-31 |