| NPI | 1093075301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY L WEEMS President/CEO/Senior Partner 773-671-0466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 14013) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180004026) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180004026) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: IL 071006437) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: IL 071006437) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071006437) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071006437) | |
| 103TF0200X Psychologist, Forensic (Licence: IL 071006437) | |
| 106H00000X Marriage & Family Therapist (Licence: IL 180004026) | |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2017-05-09 |