| NPI | 1952083750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN NOTTAGE Senior Vice President 312-943-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |