| NPI | 1346051158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY ESQUIVEL President 708-232-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP1600X Counselor Pastoral | |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-05-16 |