| NPI | 1669915831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L MCADAMS Clinical Manager 847-997-3910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.009963) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |