| NPI | 1457736993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN GORDON GILL Owner/Psychotherapist 847-293-6290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180.004320) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |