NPI | 1205326691 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN MARIE FLYNN Licensed Clinical Social Worker 708-405-9181 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 149019589) |
Enumeration Date | 2018-05-11 |
Last Update Date | 2023-07-06 |