| NPI | 1184958811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE FRANCIS Chief Executive Officer 312-666-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 180-003431) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |