| NPI | 1467276758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON D PRAHL Owner/Agent 630-926-5987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171400000X Health & Wellness Coach | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |