| NPI | 1477952562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN BAYNES Executive Director 630-473-3091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 15018) |
| Additional Taxonomies | 251S00000X |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2018-04-25 |