| NPI | 1699558411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA RAQUEL FLORENCIO PINTO Clinical Professional Counselor 224-587-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |