| NPI | 1568290989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA JAMESON Owner 630-306-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-11-10 |