| NPI | 1184485815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZECHARIAH RODRIGUEZ Owner 312-883-4860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2026-04-13 |