| NPI | 1578859419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN C TEITELBAUM Executive Vice President/COO 773-257-5322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 0001644) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-09-13 |