| NPI | 1699372250 |
|---|---|
| Doing Business As | CTF ILLINOIS -REYNOLDS MH |
| Entity Type | Organization |
| Authorized Contact | KELLI L CODY Executive Assistant 708-429-1260 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2021-04-14 |