| NPI | 1609695576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VINCENT RANGEL Owner And Therapist 312-801-0864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |