NPI | 1013623024 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM HORTON Owner 630-733-8903 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-01-24 |
Last Update Date | 2023-01-24 |