NPI | 1487320834 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNE GAMACHE Managing Owner 847-461-3168 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2021-08-17 |
Last Update Date | 2021-08-17 |