| NPI | 1649413659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN KAPLAN Assistant Executive Director 312-673-3405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 002) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2022-07-21 |