NPI | 1992165542 |
---|---|
Entity Type | Organization |
Authorized Contact | MONICA F BOYD-LAYNE Owner 312-324-4855 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 180008992) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-02-24 |
Last Update Date | 2025-10-06 |