| NPI | 1386604577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA KOWALSKY WILLIAMS Owner And Head Of The Practice 708-424-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 071 003598) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2013-04-17 |