| NPI | 1912383720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MAYES President/CEO 773-508-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2016-12-01 |