| NPI | 1265360564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH MICHELLE MCQUISTON Owner 312-970-1087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2026-05-08 |
| Last Update Date | 2026-05-29 |