| NPI | 1710217336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONICA R PATEL State Executive Director 630-773-1985 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2020-06-04 |