| NPI | 1669229936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL CHIARELLA Owner 312-569-9430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |