| NPI | 1679467765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN HIGGINS Founder 630-301-8648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-06-04 |