NPI | 1790973931 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAREE L CHANCE-LAWSON President 773-736-4444 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036111059) |
Enumeration Date | 2007-10-12 |
Last Update Date | 2007-10-12 |