| NPI | 1982892832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN DOPKE President 312-649-0854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 060008747) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |