| NPI | 1487296380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA E SUBER Clinical Director 847-868-2071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |