| NPI | 1649084567 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KRISTY CRAWFORD Owner/Director 630-709-6896  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health | 
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2025-02-03 | 
| Last Update Date | 2025-10-31 |