| NPI | 1164908547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DICOSTANZO Managing Member 630-973-8583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 149.018138) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2025-09-09 |