| NPI | 1164194650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MOORE Co Founder 630-337-0227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2021-10-02 |
| Last Update Date | 2021-10-02 |