| NPI | 1790049989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK M. HEATWOLE President & Chief Operating Officer 312-543-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |