| NPI | 1851464804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAE Y MOON C.E.O. 773-736-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036051723) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |