| NPI | 1326722950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAIRA KHAN Mental Health Therapist 224-440-2665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |