| NPI | 1023891520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENAY NICOLE BRIDGES-CARTER Owner 773-454-8014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |