| NPI | 1043929243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY LYNN EDWARDSON Owner 847-894-7288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 251S00000X | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2024-02-25 |