| NPI | 1689674038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK GERMANN Executive Director 847-952-7460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 04005) |
| 251S00000X | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2022-07-25 |