| NPI | 1407580863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTRELLA GONZALEZ Billing And Intake Supervisor 312-578-9990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-07-12 |