| NPI | 1457131328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI KRISTEN BOAN Owner 630-649-2819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities | |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| 133N00000X Nutritionist | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2023-09-29 |