| NPI | 1013240423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUS VAN DEN BRINK Executive Director 708-371-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2021-02-16 |