| NPI | 1568617454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE MARINGER CEO 312-804-1971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: IL 149011530) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2014-04-27 |