| NPI | 1972271591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIANA WOOL Owner Of Pracitce 708-560-6653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-09-14 |