| NPI | 1033515796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ROEHRIG TONDU Owner 312-420-6427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 071.007970) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |