| NPI | 1093181141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNICE L WRIGHT Therapist 224-489-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.009793) |
| Additional Taxonomies | 251S00000X (Licence: IL 180009793) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2016-05-20 |