| NPI | 1760296560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD SAKS Owner 773-307-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |