| NPI | 1548712375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA E TENZER Therapist 773-680-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 150015155) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |