| NPI | 1508379397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLIE BROWN Clinical Social Worker 773-266-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6801092311) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |