| NPI | 1467053306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA TIRAN President 773-541-1826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2023-10-17 |