NPI | 1154144541 |
---|---|
Entity Type | Organization |
Authorized Contact | CLIFTON GEORGE BURNS Owner/Clinician 630-923-5838 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
1041C0700X Social Worker, Clinical | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2024-11-04 |
Last Update Date | 2025-02-06 |