| NPI | 1679103097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANANCIA STAFFORD Owner/Psychotherapist 312-788-7703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-04-15 |