| NPI | 1023609179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA JEAN-BAPTISTE Licensed Clinical Social Worker 847-770-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-04-05 |