| NPI | 1386141158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SUSZKO BROWN Owner 708-955-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 071.005567) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2020-07-08 |