| 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 |