| NPI | 1316105950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE ANTHONY PIMENTEL President 773-736-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036111599) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |