| NPI | 1033845573 |
|---|---|
| Doing Business As | FOX RIVER VALLEY CENTER FOR DEPTH THERAPY |
| Entity Type | Organization |
| Authorized Contact | KATHERINE KOESTER Owner 630-828-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |