| NPI | 1649091703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH DAILEY WALSH Therapist 312-741-4229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |