| NPI | 1083354666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYNANN DAVIS Clinical Professional Counselor 773-633-8695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-03-31 |