| NPI | 1861270720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCHOLL Chief Clinical Officer 773-765-0842 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-20 |