NPI | 1679061188 |
---|---|
Entity Type | Organization |
Authorized Contact | JILLIAN CALIENDO President 312-985-6855 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 071.009708) |
Enumeration Date | 2018-04-30 |
Last Update Date | 2018-04-30 |