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 |