| NPI | 1417388117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICH ADELMAN CFO 773-382-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2019-02-14 |