| NPI | 1881928398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONSIGNOR MICHAEL M BOLAND Administrator, President And CEO 312-655-7460 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: IL 04019) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: IL 04019) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2023-10-17 |