NPI | 1164065637 |
---|---|
Entity Type | Organization |
Authorized Contact | HERBERT LEON STRICKLIN Director Of Clinical Operations 630-897-1003 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2019-10-28 |
Last Update Date | 2019-10-28 |