| NPI | 1619850690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANNE SEVESKA Owner 773-936-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |