Whalio Doctors

NPI 1023257045

New Leaf Counseling LLC

Organisation Community/Behavioral Health Agency Park Ridge, IL

Practice location

Address
1460 Renaissance Dr Suite 211, Park Ridge, IL 60068-1331
Phone
(847) 391-4180
Fax
(847) 391-4188

Authorised official

Name
Marvin Michael Bornschlegl
Title
Owner/Counselor
Phone
(847) 391-4180

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence A-6791-0001-A (IL)

Registry record

NPI
1023257045
Entity type
Organization
NPI issued
14 Feb 2009
Record last updated
14 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.