| NPI | 1528331105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY G. CONROE President 312-782-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036048944) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2015-04-09 |