| NPI | 1851826606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER BOUDA Owner 630-566-3529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149.014578) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2025-03-26 |