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