| NPI | 1891383386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENAE D THOMPSON Owner, Practitioner 708-801-8735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-01-09 |
| Last Update Date | 2024-01-04 |