NPI | 1225152796 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY A KOPERA President & C.E.O. 773-769-0205 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 04029) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2008-04-20 |