| NPI | 1255729935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA STRONG Clinical Psychologist 847-533-5905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 071.008954) |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-01-02 |