| NPI | 1124460902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA RAY Therapist 708-769-2097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.005055) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |