| NPI | 1013621523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAJAHATUDDIN MACCI Owner 773-817-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |