| NPI | 1912505074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA DANIEL CEO 773-236-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251V00000X Voluntary or Charitable | |
| 261QC1500X Clinic/Center Community Health | |
| 261QH0100X Clinic/Center Health Service | |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |