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 |