| NPI | 1679819734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIM FAROOQI Director Of Operations 708-342-7076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 036131268) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |