| NPI | 1205701380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ZAGARO Owner/Managing Member 773-308-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-08 |