| NPI | 1730919523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BOARD Clinical Director 847-417-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |