| NPI | 1679951917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE SHARP President CEO 773-224-9217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2023-12-11 |