| NPI | 1851870406 |
|---|---|
| Doing Business As | WAKEFUL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | AMY B. KALLENBERG Owner/Psychotherapist 312-625-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2021-04-22 |