| NPI | 1548957806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA DONAHUE Owner 630-456-3803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-09-01 |