| NPI | 1679235501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WELDLER Owner 773-919-9351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2025-07-29 |