| NPI | 1548754443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH RACHEL RUBIN Licensed Clinical Social Worker 312-967-6272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 149.016573) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2021-05-15 |