| NPI | 1831544378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM SHEEHAN VP Of Home & Community Based Servic 773-443-3562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| 251S00000X Community/Behavioral Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |