| NPI | 1790593473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DANIEL LINDQUIST Owner/Therapist 773-875-8803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2024-12-26 |