| NPI | 1427755891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHICOINE Owner/Sole Member 708-971-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2024-09-17 |