| NPI | 1962916809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYN PARIS Owner/Clinical Social Worker 773-484-7948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 248.001630) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |