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 |