| NPI | 1235820838 |
|---|---|
| Former Legal Business Name | TABULA RASA, LLC |
| Entity Type | Organization |
| Authorized Contact | CARA FAITH CZARNECKI Clinical Director/Therapist 630-670-0281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2024-04-10 |