NPI | 1366990830 |
---|---|
Entity Type | Organization |
Authorized Contact | NINA JORDANIA Onwer/Physician 630-740-8375 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL ME126750) |
Enumeration Date | 2016-09-14 |
Last Update Date | 2016-09-14 |