| NPI | 1801354345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA PETERSEN WOLFF Licensed Clinical Psychologist 847-863-2943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |