| NPI | 1386906139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E DANIELS Clinical Director 312-587-1742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 071-006306) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |