| NPI | 1992165542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA FELICE BOYD Clinical Professional Counselor 312-498-0056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 180008992) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |