| NPI | 1558015115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDACE WADLINGTON Acting Chief Admin. Officer 773-600-3507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-02-11 |