| NPI | 1154437739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CECILIA CAMPBELL Co Director 847-318-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2023-01-26 |