| NPI | 1982195301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE MADERA Clinical Therapist/ Supervisor 630-384-9560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2021-11-09 |