| NPI | 1972567709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CALICA Executive Director 312-698-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2020-08-22 |