| NPI | 1205147717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW W. BEAUDET First Deputy Commisioner 312-747-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 149008082) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |