| NPI | 1316799729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E. YOUNG Practice Owner 708-640-6951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-04-02 |