| NPI | 1336611136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOSHANAH BAHT YEHUDAH Owner, Lcpc 708-395-6083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2022-12-23 |