| NPI | 1922815000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN GRACE ARNESON Owner 847-347-7346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |