| NPI | 1740730266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG MAKI Chief Executive Officer 773-293-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: IL A-5003-0001-A) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: IL A-5003-0001-A) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2017-01-03 |