| NPI | 1568991263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY SIMON President 847-701-4273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 071008793) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2022-07-21 |