| NPI | 1821103821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICH ADELMAN CFO 773-382-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2021-02-23 |