| NPI | 1134718141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER SOTO Founder/Member 847-942-3762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |