| NPI | 1205584570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE M VAN AMAN Counselor Business Owner 847-644-3672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-15 |