| NPI | 1366951121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CARLSON Counselor/Owner 630-229-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 180.011171) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-07-21 |