| NPI | 1174944698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J JOHNS CEO/Director Of Clinical Services 773-502-8252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2013-12-31 |