| NPI | 1013809821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA LELIK Owner 224-392-4980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |