| NPI | 1588478283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN ALEXANDER BECK Owner 312-767-7185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-05-12 |