| NPI | 1104678150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GADA KHALIL Manger 708-378-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2025-10-06 |