| NPI | 1003709908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE TAYLOR Licensed Clinical Professional Coun 312-379-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |