| NPI | 1285036491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINIFRED BRADSHAW Director 847-461-8718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.008522) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180008522) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health (Licence: IL 180008522) | |
| 102L00000X Psychoanalyst (Licence: IL 180008522) | |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 273R00000X Psychiatric Unit | |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2016-04-19 |