| NPI | 1932786324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUCHA SHASTRI A VP, Behavioral Health 773-831-9131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2022-01-11 |