| NPI | 1902102890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S MALING Cllinical Psychologist 847-780-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 071 004554) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-02-10 |