| NPI | 1548534829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH C. WATKIN President 312-519-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 149012783) |
| Enumeration Date | 2012-03-03 |
| Last Update Date | 2012-03-03 |