| NPI | 1932155066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARTRELL DAVE W KING President 773-261-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036056245) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |