| NPI | 1275630444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DICKIE KAY Owner 847-692-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 036066692) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |