| NPI | 1326535204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE KREITER Therapist 847-363-0628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149016782) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |