| NPI | 1477121218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN T. LUX Owner 630-425-3190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2024-07-17 |