| NPI | 1114434404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA P MERUCCI Owner 847-859-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 149017859) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |