| NPI | 1750046108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA BUTTS CEO 312-612-0264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-01 |