| NPI | 1073804720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE WASHINGTON President 630-328-3571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036-085290) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: IL 036-085290) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |