| NPI | 1336887348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY LEONARD KLEMMER Psychotherapist 773-231-8407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2024-07-03 |