| NPI | 1124424064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA E FOSTER Partner 773-576-7032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.007233) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |