| NPI | 1043072218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN V. LIEBOLD Owner 630-329-6709 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-05-22 |