| NPI | 1184120933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEG EIFRIG Owner 773-558-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 180010134) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |