| NPI | 1508544271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANA WEISNER Clinical Psychologist 847-860-6089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-07-11 |