| NPI | 1720532807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE T PAGANO Owner/Therapist 708-846-0864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 180007521) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 180007521) |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2016-08-06 |