| NPI | 1568164341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY K KLEMANSKI CEO 312-663-1130 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-17 |