| NPI | 1588338685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER T STONE CEO 630-408-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2021-08-03 |