| NPI | 1114387602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEVILA MCDOUGAL VP Of Operations 312-540-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |