| NPI | 1356110787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISSE BEACH CEO 708-308-8675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2024-01-12 |