| NPI | 1588842942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONE EDWARDS CFO 773-722-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2020-08-19 |