| NPI | 1740094358 |
|---|---|
| Doing Business As | LINCOLN PARK THERAPY GROUP |
| Entity Type | Organization |
| Authorized Contact | JASON MARTIN OSEQUEDA Managing Director 312-937-5281 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |