| NPI | 1487231338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HODAN A AHMED Program Director 773-943-1172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2021-03-26 |