| NPI | 1497981559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI ADINA LEVY Owner 708-386-4517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 036-096478) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-12-02 |