| NPI | 1851104194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEOPATRA SMYRNIOTES Director Of Operations 847-763-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |