| NPI | 1104257807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIO GUZMAN Psychotherapist 630-991-8315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MO 2013005503) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-05 |