| NPI | 1417792284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CARRILLO-GUERRERO Owner 773-615-5415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2025-08-25 |