| 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 |