| NPI | 1881230860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE FEIG MCCLURE Managing Member 773-655-9983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |