| NPI | 1881395150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA BLOCK President 847-971-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |