| NPI | 1740792662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WILLIAM ANDERSON Owner 847-425-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 202694) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |