| NPI | 1376730028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DOMINICK PARISI President / Owner 847-909-9858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 071-005598) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2012-12-31 |