| NPI | 1336787662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEIRA YAEL KATZOFF Owner 847-410-9129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |