NPI | 1346402302 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID S WOOD Agency Director 630-942-8803 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 1073685715) |
Enumeration Date | 2008-06-30 |
Last Update Date | 2008-06-30 |