| NPI | 1982154407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SNELTEN Chief Operating Officer 847-546-6450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 1412) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2021-04-07 |