| NPI | 1942096466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA LYNN BUMBER Owner/Clinician 773-234-3959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-08-18 |