| NPI | 1063123057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LIEBLING Clinical Psychologist 847-810-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2022-12-09 |