| NPI | 1790430197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HONG LIU Executive Director 312-225-8659 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 251B00000X Case Management | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-02-15 |