| NPI | 1629356068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ADELMAN CFO 773-382-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2019-02-14 |