| NPI | 1194963082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES C. ANDERSON President 847-398-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 071.002741) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |