| NPI | 1477618668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN BAYNES CEO 630-986-0599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2018-06-22 |