NPI | 1346515244 |
---|---|
Entity Type | Organization |
Authorized Contact | D'LOREYN WALKER President/Owner 708-941-1174 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 036.126980) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036.126980) |
Enumeration Date | 2012-03-12 |
Last Update Date | 2012-03-12 |