| NPI | 1972039568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICH ADELMAN CFO 773-382-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 04138) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2021-02-23 |