| NPI | 1568006831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SALKELD Vice President 708-986-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2020-03-10 |