| NPI | 1790308401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MATTHEW FELTMAN Owner 773-569-9378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |