| NPI | 1013247022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY A KOPERA CEO 773-765-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 04029) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |