| NPI | 1295294700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN MARIE TSCHAMPA LOPOTKO Owner/Mental Health Counselor 630-790-9488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2023-05-17 |