| NPI | 1801425335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA M OWENS President 773-317-2056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2024-12-17 |