| NPI | 1518277953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WEBER Executive Director 630-482-9699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL 197.000121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2021-03-12 |