| NPI | 1962268037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI MARIE STURDY OLIVA Therapist 312-502-5899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-03-05 |