| NPI | 1912689183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELA SNCHEZ Owner 847-979-9095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 251S00000X | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2024-01-07 |