| NPI | 1760647226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COSME O LOZANO Medical Director 630-408-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2025-02-04 |