| NPI | 1972860203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STARLENE M KELLEY CEO 312-857-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 40723917) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-18 |