| NPI | 1093523110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN WYATT Owner 773-629-4842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2024-12-26 |