NPI | 1427118439 |
---|---|
Doing Business As | OAKSIDE CLINIC |
Entity Type | Organization |
Authorized Contact | ELIZABETH J. HAMMOND Manager 815-933-2240 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2013-09-25 |