| NPI | 1679106322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DAWN SNYDER Rehabilitative Services Associate 630-966-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |