NPI | 1609198878 |
---|---|
Entity Type | Organization |
Authorized Contact | ABBY KOCH Clincial Therapist 847-962-6731 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149.012640) |
Enumeration Date | 2010-02-15 |
Last Update Date | 2010-02-15 |