| NPI | 1891238432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLYN E LOPEZ Managing Member 773-766-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.010218) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2023-12-19 |