| NPI | 1386521003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA TABACHNICK Owner 773-312-4809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |