| NPI | 1639542681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOLEDA HART President/CEO 773-840-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 15011) |
| Additional Taxonomies | 251S00000X (Licence: IL 15011) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2017-05-03 |