| NPI | 1861938359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP ATTEBERRY CEO 224-205-7868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2020-11-09 |