| NPI | 1396357737 |
|---|---|
| Doing Business As | AUTHENTIC GROWTH WELLNESS GROUP |
| Entity Type | Organization |
| Authorized Contact | EMILY PAGONE Clinical Director And Owner 630-207-2482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2023-11-29 |