| NPI | 1891459525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CLARE CARLSON Mental Health Therapist 630-649-9087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2021-10-28 |