| NPI | 1154122398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE MARY FORDHAM Owner/Therapist 708-274-7934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-04-09 |