| NPI | 1700149051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONICA PATEL State Executive Director 630-773-1985 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2020-06-04 |