| NPI | 1780407189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA JULIA LEE CEO/Owner 708-202-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |