| NPI | 1164915542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSE STURDIVANT WILLIAMS Owner/Psychologist 773-680-0442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 071008324) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |