| NPI | 1487995361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD RUSSELL LENDVAY Owner/Psychologist 847-776-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178008534) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 30204) |
| Enumeration Date | 2013-03-02 |
| Last Update Date | 2013-03-02 |