NPI | 1649837394 |
---|---|
Entity Type | Organization |
Authorized Contact | CARA NICHOLSON Clinical Psychologist 847-712-7300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
Enumeration Date | 2019-05-28 |
Last Update Date | 2023-11-27 |