| NPI | 1386181394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA RUIZ Psychotherapist 847-636-9836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180.009660) |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2017-01-28 |