| NPI | 1114744711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAWN M WALLACE CEO/Founder 773-809-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |