NPI | 1457033896 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID ROTHBLATT Owner 847-971-9796 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-08-04 |
Last Update Date | 2023-08-04 |