| NPI | 1285231381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS CHARLES HOWARD Owner 630-449-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2025-08-05 |