| NPI | 1730605577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY JOY JUBY Licensed Clinical Psychologist 708-336-9285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2019-04-28 |