NPI | 1063261766 |
---|---|
Entity Type | Organization |
Authorized Contact | LEONARD JASON ANTHONY Owner, Counselor 773-727-7336 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-05-15 |
Last Update Date | 2024-05-15 |