| NPI | 1548994767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFER BATES Business Director 847-748-8733 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-07-13 |