NPI | 1407465883 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY GRIFFIN CEO 312-730-4355 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 207Q00000X Family Medicine |
207QA0000X Family Medicine, Adolescent Medicine | |
207QA0401X Family Medicine, Addiction Medicine | |
207QA0505X Family Medicine, Adult Medicine | |
207QG0300X Family Medicine, Geriatric Medicine | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2020-07-30 |
Last Update Date | 2021-10-08 |