| NPI | 1699582890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENECHA DORSEY Licensed Clinical Therapist 708-705-2642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |