| NPI | 1982874913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L. GIBSON Psychologist 630-668-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 071001808) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |