| NPI | 1982342259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SACKLEY Co Founder/Clinical Director 847-217-7669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-05-25 |