| NPI | 1538459268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI AITKEN Owner 847-217-7836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 180002521) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |