| NPI | 1033632104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY RIZZOLO Owner 312-786-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 180008936) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2023-04-25 |