| NPI | 1043677198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJULI SHAH-JOHNSON Owner/Therapist/Bodyworker 773-991-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OR L5990) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |