| NPI | 1790358539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN ALENCIKS Director, Psych Ops 773-266-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-20 |