| NPI | 1770250649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN AUGUSTINE NSIMBI Therapist 773-758-2901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2024-07-18 |