| NPI | 1649009135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL NOVAK Social Worker 847-857-9860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |