| NPI | 1942610738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA HINES Therapist 630-926-0640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180008017) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2014-05-01 |