| NPI | 1962328138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A. KELLY Owner 773-343-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2026-06-24 |
| Last Update Date | 2026-06-24 |