| 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 |