| NPI | 1114468329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY R WILLIAMS Owner 312-646-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180010713) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |