NPI | 1861779696 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK EMMET RUND Supervisor Of Clinical Services 773-382-4615 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2011-11-08 |
Last Update Date | 2011-11-08 |