| NPI | 1639498504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAYA A GILLOGLY Clinic Manager 224-850-3069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2023-03-29 |