| NPI | 1528241981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNETTE L BERRY President 773-736-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036111987) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2007-12-07 |