| NPI | 1568177210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BUCHANAN VP Clinical Services 630-369-0004 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-01-17 |