NPI | 1235357849 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYN W. JESSUP President 847-501-5897 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2007-04-22 |
Last Update Date | 2020-08-22 |