| NPI | 1023241486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA FAY Psychotherapist 773-425-6652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 166-000571) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2010-07-21 |