NPI | 1003939828 |
---|---|
Entity Type | Organization |
Authorized Contact | ADRIENNE ADAMS Owner 630-420-7660 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 036100630) |
Enumeration Date | 2007-04-08 |
Last Update Date | 2020-08-22 |