| NPI | 1285212308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN SMITHE Licensed Clinical Social Worker 847-687-2653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-03-30 |