NPI | 1174002356 |
---|---|
Entity Type | Organization |
Authorized Contact | THERESSA L LABARRIE MITCHELL Clinical Psychologist And Founder 312-522-8280 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 071.009800) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 071.009800) |
261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 071.009800) | |
Enumeration Date | 2018-08-09 |
Last Update Date | 2018-09-06 |