| NPI | 1548006679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE DANIELLE BASGALL Assistant Director Of Billing And R 630-221-7145 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |