| NPI | 1679748222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAREK WALCZYK Owner 708-647-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036107779) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |