| NPI | 1205168424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE JOHNSON Owner 708-499-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011142) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 101YP2500X Counselor, Professional (Licence: IL 180005742) | |
| Enumeration Date | 2010-02-13 |
| Last Update Date | 2023-06-01 |