| NPI | 1194357228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PETE JANSONS Owner 847-922-4776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |