NPI | 1861074254 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMANTHA COLLAZO Clinical Psychologist 312-420-4316 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-04-25 |
Last Update Date | 2021-04-25 |