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 |