| NPI | 1962926626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICEA BAILEY Clinical Therapist 630-687-0693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.00998) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 30051) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180.00998) | |
| 261QM0801X (Licence: IL 180.009998) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 180.00998) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 180.009998) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL 30051) | |
| 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: IL 30051) | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: IL 30051) | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-10 |