| NPI | 1114407830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYANNE R BRIGHT Owner 847-457-6703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2023-03-31 |