| NPI | 1255997599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA BERGFELD President/Lic. Clinical Social Work 708-373-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |