NPI | 1083012249 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER GRAY Manager 312-860-0480 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2014-12-19 |
Last Update Date | 2014-12-19 |