| NPI | 1568747202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA SUSAN GIBSON Vice President 630-759-1732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 071007322) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |