NPI | 1083139406 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAUNTAY BRENORD Co Founder, Trauma Therapist 630-201-0838 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
251S00000X | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2017-08-07 |
Last Update Date | 2017-08-07 |