| NPI | 1497945547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVERNE BARNES President 773-736-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036110716) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |