| NPI | 1821804402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A. MULVEY Managing Member 773-817-8754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |