| NPI | 1972386928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN T. GOLDENSTEIN Owner/Provider 630-881-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |