| NPI | 1588398341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE LEVY Director Of Project Development 773-719-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-07-15 |