| NPI | 1639476922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENCIA M GREEN CEO 773-814-3201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 208D00000X General Practice | |
| 251B00000X Case Management | |
| 251S00000X | |
| 364SF0001X Clinical Nurse Specialist, Family Health | |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |