| NPI | 1043759939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA RATCLIFFE CEO 708-715-1575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |