NPI | 1861659435 |
---|---|
Entity Type | Organization |
Authorized Contact | BROOKS WILDING WILKINSON President 312-541-1571 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036081963) |
Enumeration Date | 2008-05-20 |
Last Update Date | 2008-05-20 |