NPI | 1881455012 |
---|---|
Entity Type | Organization |
Authorized Contact | JACLYN ROSS Clinical Psychologist 312-210-0374 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2024-01-16 |
Last Update Date | 2024-01-16 |