| NPI | 1558890889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMER A EWING C.O.O. 708-617-8548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-09 |