| NPI | 1821597063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO CISNEROS President & CEO 773-579-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2021-04-09 |