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 |