| NPI | 1184334245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIECE J. TOWNSEND Mental Health Counselor 708-543-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2025-07-01 |