| NPI | 1003778317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY DEAVER Clinical Professional Counselor 773-217-9371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-11-25 |
| Last Update Date | 2025-11-25 |