| NPI | 1154659068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA VASSALLO CROSSMAN Co Manager 708-386-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180-002780) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2009-12-04 |