| NPI | 1437324100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN FRIES Sr Dir Qa&C 773-469-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2024-01-16 |