| NPI | 1598336844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LYNNE MCKINZIE Clinical Psychologist 847-563-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2023-04-18 |