| NPI | 1790558153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA J SHERROD Owner 630-456-1374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-07 |