| NPI | 1922408889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIL J MCCARTY Exec Office Asst 773-238-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2026-02-15 |