| NPI | 1710322482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET RODRIGUEZ Clinical Director 773-767-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180005502) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |