| NPI | 1295321677 |
|---|---|
| Doing Business As | FAMILY ADOLESCENT CHILD TREATMENT SERVICE, LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER N DAVIS Licensed Clinical Psychologist 773-282-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2020-12-21 |