| NPI | 1194244400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN BURNS Owner 312-852-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 248-002249) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2018-08-09 |