| NPI | 1386352193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI HOWE Utilization Coordinatior 708-786-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |