| NPI | 1477100626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LAWSON Vice President For Finance And Oper 312-893-7120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2020-01-17 |