| NPI | 1932638012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HUBERMAN-SHLAES Sole Proprietor 312-286-6165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 071009552) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |