| NPI | 1629547781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA GILBERT GERBER Licensed Clinical Professional Coun 847-997-7470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |