NPI | 1225254923 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY A SEIDEN President 312-880-0228 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 71006154) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2020-08-22 |