| NPI | 1447584388 |
|---|---|
| Other Name | THE LORD'S TABLE |
| Entity Type | Organization |
| Authorized Contact | OLUMIDE OLUWOLE Director 773-392-1585 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |