| NPI | 1942067525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN VOSS Owner 847-334-5254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-11-13 |