| NPI | 1518844950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY LYNN SCHANMIER JOLLY Owner/Sole Member 847-372-6558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |