| NPI | 1053735779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE ANN RUDDEN Owner/Clinician 773-308-3320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 6090) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2016-12-21 |