| NPI | 1265585400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FILOGONIO MOISES GAVIRIA Physician 708-226-1360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2025-09-11 |