| NPI | 1154014116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD RICHARDSON Owner 312-391-6845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2024-11-01 |