| NPI | 1770527905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN COLBY MARTIN President 630-355-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 060-005604) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-08-22 |