| NPI | 1952947830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DOOLITTLE Director Of Contracting 773-572-5284 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |