| NPI | 1659861409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON GREEN HIRSHORN CEO 773-597-5984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180.011532) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-21 |