| NPI | 1639639347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANNE BERLIANT Owner 847-910-2239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2021-11-07 |