| NPI | 1144789439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MCBRIDE Psychotherapist 708-264-4627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2022-03-01 |