| NPI | 1588013312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDY BORRAYO Executive Director 773-564-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2020-06-26 |