| NPI | 1427820661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY RECSETAR Owner 224-766-0764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-11-30 |