| NPI | 1154868206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LEON GRUNOW Health Director 708-424-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 04131) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |