| NPI | 1801128970 |
|---|---|
| Doing Business As | ST JAMES PSYCHOLOGICAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DEANNA MARIE BASS Account Representative 708-755-3348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 1744997) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2010-05-20 |