| NPI | 1922747195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN VLOSKY COO 847-721-3451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2024-04-22 |