NPI | 1568197531 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHEL E HUDGENS Clinical Social Worker 847-868-4585 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Enumeration Date | 2022-07-22 |
Last Update Date | 2023-07-03 |