| NPI | 1881922284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA SUSAN GIBSON President 630-759-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 071007322) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 071007322) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2016-04-20 |