| NPI | 1841725611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARIE JOHNSTONE Lcsw 630-491-6994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149012925) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |