| NPI | 1760830954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHIA S MERCHERSON Mental Health Service Provider 773-425-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL 180.008998) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |