| NPI | 1063131621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POOJA PATEL CEO 224-269-4551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2025-09-15 |