| NPI | 1881923910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA YAEL PECK Clinical Director 773-653-3059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 178004814) |
| Enumeration Date | 2009-12-20 |
| Last Update Date | 2009-12-20 |