NPI | 1932934601 |
---|---|
Entity Type | Organization |
Authorized Contact | CHLOE KRISTINA COOPER Owner 708-299-0797 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2024-09-03 |
Last Update Date | 2024-09-03 |