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 Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
251S00000X | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 007) | |
Enumeration Date | 2012-09-18 |
Last Update Date | 2022-07-21 |