| NPI | 1700646486 |
|---|---|
| Doing Business As | GRACE INTEGRATED ELMHURST |
| Entity Type | Organization |
| Authorized Contact | THOMAS ROCCO CEO 630-523-9816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-09-19 |