| NPI | 1659708352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY MUKLEWICZ Owner/Clinician 847-752-9969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180006950) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |