NPI | 1922687946 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY CRICK Administrator 847-791-4384 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-04-06 |
Last Update Date | 2021-04-06 |