| NPI | 1952887812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE GIVEN Lcsw 847-861-7899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2022-08-10 |