| NPI | 1104675404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRINYEL PERKINS Licensed Clinical Professional Coun 708-696-4874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2025-10-21 |