NPI | 1295297364 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINA CRATER Clinic Administrator 847-592-4447 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2019-04-05 |
Last Update Date | 2023-04-11 |