| NPI | 1932535382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE BURRIS Lcpc 708-691-3663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 180007572) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |