| NPI | 1659720332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL MARC FILMORE Clinical Director/Owner 773-656-2738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180008697) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-05 |