| NPI | 1093479958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN BURCL Owner 708-314-8416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2022-09-16 |