| NPI | 1831703271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN BOULES CEO, Clinical Psychologist 630-321-9809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
| Additional Taxonomies | 103T00000X Psychologist |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2021-02-08 |