| NPI | 1700646486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ROCCO Manager 630-523-9816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2025-03-04 |