| NPI | 1124465778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD OWEN Partner 312-222-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 071006869) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |