NPI | 1891827655 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANNA BOLEN Owner 773-327-9356 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 071-006419) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2009-06-29 |