| NPI | 1609517630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA A VARELA Owner/Manager 630-216-9425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2024-08-02 |