| NPI | 1366922502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN LEIGH MCCOMBS Owner 708-257-2838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 149010022) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |