| NPI | 1043896194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY P. NICHOLS Business Owner 630-776-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-03-31 |