| NPI | 1871892828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA JANE SHARP Owner 630-777-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 071006672) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 071006672) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-04-14 |