| NPI | 1912440264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEVILA MCDOUGAL VP Of Operations 773-312-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 071.009405) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |