| NPI | 1679318612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVROHOM BRIMM Member 312-890-1148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |