| NPI | 1700864352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADENRELE KOLAWOLE Director Billing And Collections 708-216-3743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: IL 0005082) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2019-12-16 |