| NPI | 1720656515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN MCILWEE Clinical Psychologist 773-217-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2024-02-25 |