| NPI | 1932716594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY SAFFOLD Managing Partner 708-439-5901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |