| NPI | 1225424112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREEJAYA VELUVALI Md 847-736-6624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN 49252) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |