| NPI | 1871938928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK J. AHERN Licensed Clinical Social Worker 630-587-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 149-006411) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |