NPI | 1316823933 |
---|---|
Entity Type | Organization |
Authorized Contact | KEREN PORAT Owner 773-704-1005 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-08-12 |
Last Update Date | 2025-08-31 |