| NPI | 1467834564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY GAIL JACKSON Clinical Therapist 708-966-6091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 180006774) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2024-04-03 |