| NPI | 1790132215 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SARAH WARREN President 312-595-1691 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health | 
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health | 
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2016-05-16 | 
| Last Update Date | 2016-05-16 |