| NPI | 1154646503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHEERAJ K. RAINA Executive Director 847-420-4552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |