| NPI | 1588839260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI E POWELL President 773-779-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 060-009832) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2009-04-30 |