| NPI | 1457802365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK PERHAM Vice President 708-338-3806 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2022-07-21 |