| NPI | 1154708899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICA MELANIE MALONE Clinical Director 847-425-9708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 221700000X Art Therapist | |
| 225600000X Dance Therapist | |
| 225A00000X Music Therapist | |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2025-03-25 |