NPI | 1073203576 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXIA NEWBERN Sole Member 630-276-8872 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-05-09 |
Last Update Date | 2023-05-09 |