| NPI | 1689321945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD MOKOS Owner 630-384-9214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |