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 | 2024-12-02 |