| NPI | 1093114191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN BAYNES Executive Director 630-473-3091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |