| NPI | 1528413671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE L MILLER Therapist 847-722-6704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WI 8463-123) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |