| NPI | 1861943862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES L. BAKER President 630-966-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: IL 04008) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2019-03-14 |