| NPI | 1477960508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JANE MIHM Clinical Director 847-915-0164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-10-7063) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |