| NPI | 1447686894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLOES S VERHOEVEN Owner 630-474-4423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 071008534) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |