| NPI | 1720223340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA ADELE BOENDER President 708-602-9425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 180003880) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2024-08-30 |