| NPI | 1033915798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI GOODMAN Billing Coordinator 847-764-1355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-03-04 |