| NPI | 1770145104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIETA PRISSELL PEREZ Board Of Director 773-567-9763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TF0000X Psychologist, Family | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251B00000X Case Management | |
| Enumeration Date | 2019-07-06 |
| Last Update Date | 2019-07-06 |