| NPI | 1659026888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ANEWISHKI Executive Director 773-721-7088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |