| NPI | 1770632689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YACOB H GAWO C.E.O. 773-736-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |