| NPI | 1750948501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN T. LUX Director Of Clinical Services 630-682-1910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2021-01-15 |