| NPI | 1811163587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES KING BARRON President 773-493-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036100650) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-05 |