| NPI | 1568933059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHANASIA SOUFLAKIS Lcpc 708-203-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |