NPI | 1073685715 |
---|---|
Doing Business As | LDS FAMILY SERVICES IL CHICAGO |
Entity Type | Organization |
Authorized Contact | MICHAEL P OLIVER Agency Director 630-942-8803 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 37747403) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2015-06-16 |