| NPI | 1528699238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE WOODCOX BOLDEN Co Owner/Therapist 312-779-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-01-31 |