| NPI | 1821387119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD SITRON Executive Director 312-357-4800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2018-11-13 |