| NPI | 1124514419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON ALSTOTT Owner 773-916-6576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 149.019743) |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical (Licence: IL 149.019743) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 149.019743) | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2024-08-06 |