| NPI | 1861088643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA TAYLOR Psychotherapist 773-790-3738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2024-12-13 |