| NPI | 1821516931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA PUNZO President 708-613-0344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 071.009047) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |