| NPI | 1821487646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORA LEE MONTOGOMERY President/CEO 773-403-1162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2021-04-19 |