| NPI | 1952062770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JALISSA REYNOLDS Therapist/ Owner 773-517-3504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2025-07-09 |