NPI | 1700273570 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID SCHREIBER Executive Director 224-306-1879 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2015-04-20 |
Last Update Date | 2015-04-20 |