| NPI | 1558849919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MICHELLE JACKSON Owner/Lead Therapist 708-238-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 180.010875) |
| Enumeration Date | 2018-07-29 |
| Last Update Date | 2018-07-29 |