| NPI | 1992493761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE MEI ZHIN YONG Practice Manager 630-940-6065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2025-03-21 |