| NPI | 1306176581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE REGINA MILLER President 312-804-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 036080983) |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-01-11 |