NPI | 1134859416 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIRA LICHTENSTEIN Lcsw 847-338-0075 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-06-10 |
Last Update Date | 2022-06-15 |