| NPI | 1104941798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE SZUMIGALSKI Owner & President 708-369-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 180-002036) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |