| NPI | 1194188524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY D. MEYER Owner/President 630-267-5432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.009896) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180.009896) |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2017-02-24 |