| NPI | 1609083815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LANSING PALTER Director Of Clinical Operations 312-698-6934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-12-31 |