| NPI | 1366808834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SCANNELL Owner 847-338-6844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |