| NPI | 1407534423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA M HELTON Billing & Office Operations Manager 847-695-0484 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |