| NPI | 1912621491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAJAHATUDDIN MACCI CFO 773-817-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 251300000X Local Education Agency (LEA) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-29 |