| NPI | 1255874376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEVILA MCDOUGAL COO 773-321-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: IL 164006493) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |