| NPI | 1356771570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY NEMETH WISEMAN President 630-305-8545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 036110547) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-25 |