| NPI | 1508231473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DANIEL LUBAWSKI Lcpc 630-988-6258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180006849) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |