| NPI | 1891443594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL F MALLORY Owner 630-386-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2022-03-13 |