| NPI | 1861109258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA M FORTE Mental Health Clinical Therapist 630-456-3720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2022-11-03 |