| NPI | 1982437257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTTIE ESKELUND Manager 847-701-5394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |