| NPI | 1902906324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGO M. JACQUOT President 847-759-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2024-05-17 |