| NPI | 1154671030 |
|---|---|
| Other Name | BRADLEY COUNSELING CENTER - GURNEE |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ANTHONY SCHRANTZ Chief Financial Officer 847-245-6214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X (Licence: IL 007) | |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2022-07-21 |