| NPI | 1750702890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MARIAN NAPLETON Executive Director 630-417-6462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008524) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2021-02-03 |