| NPI | 1477321164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY CRITCHELL Licensed Clinical Psychologist 773-669-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |