| NPI | 1477919405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRIUS R. MAYO Manager, Revenue Cycle 630-572-0556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2017-04-13 |