| NPI | 1306108758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ACKER Owner 224-730-3295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 149009537) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |