| NPI | 1740725217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEE WATKINS Owner/Therapist 708-356-6754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 0587013-5) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2017-03-08 |