| NPI | 1033714753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MICHAEL JENKINS Ed And Acting Secretary 708-275-0934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |