| NPI | 1659988053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM HARTMANN VP Business/It 773-252-8945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2023-02-21 |