| NPI | 1891065025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABATUNDE GBOLADE OKULEYE President 773-350-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036098130) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 036098130) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |