| NPI | 1528563640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA N HOPKINS President 773-655-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180005424) |
| Additional Taxonomies | 251S00000X (Licence: IL 180004524) |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |