| NPI | 1114713682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LOVE JORDAN Owner/Operator 312-561-6215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2025-04-19 |
| Last Update Date | 2025-06-03 |