| 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 |