| NPI | 1922812775 |
|---|---|
| Doing Business As | SELF |
| Entity Type | Organization |
| Authorized Contact | MARIE T STEIN Principal 312-447-9631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |