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 |