| NPI | 1992767032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA C NIHILL COO 312-986-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2023-01-23 |