| NPI | 1881448066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN FRIES Sr. Director Qa&C 312-385-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |