| NPI | 1780575662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNEY SEGOVIANO Owner 847-400-6891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |