| NPI | 1104450584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA ZETTEL Director 847-682-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2021-02-08 |