| NPI | 1447847579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR LEYH MOORE Psychotherapist 630-405-8394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2021-04-13 |