| NPI | 1700201563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS FUCHS Director Of Clinical Services 312-986-4031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2024-10-17 |