| NPI | 1841736402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY GRUNST Therapist 847-897-9695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149015815) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |