| NPI | 1952790602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE L GUTHER-ROGOWSKI Owner 847-463-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180009019) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2025-11-20 |