NPI | 1366216061 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA GABRIELA KANE Executive Director 847-754-5770 |
Organization Subpart ? | No |
Primary Taxonomy | 251V00000X Voluntary or Charitable |
Additional Taxonomies | 261QM0801X |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-11-13 |
Last Update Date | 2023-11-13 |