| NPI | 1023850518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDDY REYES Licensed Clinical Professional Cou 312-870-0118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |