| NPI | 1619475589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN C. BONDY Owner/Therapist 847-562-9503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149015861) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |