| NPI | 1972788925 |
|---|---|
| Other Name | BEN GORDON CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL FLORA CEO/President 815-756-4875 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL A0254001A) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-10-08 |