| NPI | 1609172964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA FRANKFURT President 847-247-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: IL 036-091674) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036-091674) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-07-18 |