| NPI | 1457052698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAURI GOSWAMI Owner 773-316-8412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |