| NPI | 1811698079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYANNA TARTT Owner 773-726-7237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |