| NPI | 1144516709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY JAMES NOZICKA Psychotherapist/Owner 847-202-8671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149000475) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-08-31 |