| NPI | 1720730351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN BAYNES CEO 630-986-0599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |