| NPI | 1205324993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN W GRDINIC Psychotherapist 773-710-9332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180.009901) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |