| NPI | 1639688641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LARUCCI Owner/Provider 630-338-3696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.008684) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2023-04-21 |