NPI | 1700646486 |
---|---|
Doing Business As | GRACE INTEGRATED ELMHURST |
Entity Type | Organization |
Authorized Contact | THOMAS ROCCO Manager 630-523-9816 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2024-03-20 |
Last Update Date | 2025-03-04 |