| NPI | 1508486358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA MOORE Marriage And Family Therapist 708-275-8425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-07-31 |