| NPI | 1013440395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY MORRIS Counselor 773-370-3126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 17003) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |