| NPI | 1194217349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ROSE PARTINGTON Owner 630-335-3038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 071008747) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |