| NPI | 1134892276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY SCHUCH Owner 773-251-4687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |