| NPI | 1093927402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA R MCGOWAN President 773-736-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036112129) |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2020-08-22 |