| NPI | 1578172508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN SHYMAN Owner 847-308-8738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |