NPI | 1427405745 |
---|---|
Entity Type | Organization |
Authorized Contact | SHADEN KASSAR Director 630-631-9623 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: IL 1-15-20882) |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2016-05-17 |
Last Update Date | 2022-09-01 |