| NPI | 1174944698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J JOHNS Owner/CEO 773-502-8252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2024-08-01 |