| NPI | 1245974716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CRUZ Owner 773-217-9868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2025-02-21 |