NPI | 1295040681 |
---|---|
Doing Business As | THE CENTER FOR OPTIMAL LIVING |
Entity Type | Organization |
Authorized Contact | JONATHAN HOWARD Medical Director 630-474-9029 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036123850) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: IL 180006925) |
Enumeration Date | 2010-08-10 |
Last Update Date | 2010-08-10 |