NPI | 1740888205 |
---|---|
Entity Type | Organization |
Authorized Contact | RONICA R PATEL Executive Director 630-773-1985 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2020-10-15 |
Last Update Date | 2021-10-18 |