| NPI | 1730432733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PAT AMBROSINO Executive Director 708-429-1260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 04128) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |