| NPI | 1972080273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JAMES NOVAK Partner 847-308-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |