NPI | 1629472451 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN C TEITELBAUM Executive Vice President/COO 773-257-5332 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 0001644) |
Enumeration Date | 2014-10-22 |
Last Update Date | 2014-10-22 |