| NPI | 1679322556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE BERNSTEIN Manager 312-625-2089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |