| NPI | 1053825380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA HOERR President 312-772-9796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.010561) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2022-07-27 |