| NPI | 1548072754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON ANICH Owner 773-683-2435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-23 |