| NPI | 1023793478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN HARRIS Owner 708-220-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |