| NPI | 1295312221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CANTZ Founder 847-877-9578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QC1500X Clinic/Center Community Health | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |