| NPI | 1881204113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH CIANCI Member/Manager 630-816-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2020-08-21 |