NPI | 1073088001 |
---|---|
Entity Type | Organization |
Authorized Contact | KEN FRIES Sr Director Qa&C 630-744-9431 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-10-05 |
Last Update Date | 2024-01-11 |