| NPI | 1518538206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY GILLIAM Mental Heath Counselor 773-936-5666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2021-07-05 |