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 |