| NPI | 1972317949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN GESTES Licensed Clinical Social Worker 312-508-3103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-01 |
| Last Update Date | 2025-02-01 |