| NPI | 1184474231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY NOSBAUM Owner 847-287-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |