| NPI | 1669562559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES JEAN PACHECO Clinical Director 847-362-6919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 71-004667) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |