| NPI | 1306027412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE GOMEZ President 708-361-1616 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 36056870) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2008-03-27 |