| NPI | 1609305341 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JIN LEE Owner 847-385-4343 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2017-06-07 | 
| Last Update Date | 2017-06-07 |