NPI | 1073614699 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRANCE S. MC NICHOLAS Licensed Clinical Social Worker 312-629-0018 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149008023) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2023-09-06 |