| NPI | 1386041796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B HOUCK President 773-263-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 071001927) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2020-11-15 |