| NPI | 1649976838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNICE WALKER Director 312-489-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |