| NPI | 1306521208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA SIMMONS Psychotherapist 773-504-7054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-30 |