| NPI | 1356717151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS CHURCHWELL President 312-239-3951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: IL 042620450) |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2015-08-15 |