| NPI | 1033583851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT K MARSHALL Owner 847-533-3806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 71-2524) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |